Kelley's Essentials of Internal Medicine

by Humes, H. David

• ISBN13: 9780781719377
• ISBN10: 0781719372
• Edition: 2nd
• Format: Paperback
• Copyright: 2001-03-02
• Publisher: LWW

Summary

This updated Second Edition remains an authoritative, comprehensive resource for medical students and residents of internal medicine. Included in this "essential" reference from Kelley's Textbook of Internal Medicine, Fourth Edition is a condensed version of "Rapid Access". Prepared by a new editorial board, its approach to patient evaluation and care is through diagnosis and management. Divided by organ systems, pathogenesis, differential diagnosis and common clinical presentations are discussed in an informative, clear way. Algorithms, diagrams and tables are also featured supporting the concise summaries. This new edition provides an instrumental compendium deemed appropriate for every medical student and resident.

Table of Contents

Preface	xvi
Acknowledgments	xvi
List of Clinical Decision Guides	xxi
PART 1: GENERAL MEDICINE	1	(32)
Laurence B. Gardner
Mark Multach
Approach to the Patient With Chest Pain	2	(4)
Elizabeth G. Nabel
William P. Fay
Approach to the Patient With Shortness of Breath	6	(1)
Approach to the Patient With Cough	7	(3)
Approach to the Patient With Abdominal Pain and the Acute Abdomen	10	(6)
Peter G. Traber
William L. Hasler
Approach to the Patient With Weight Loss	16	(1)
Robert L. Hernandez
Daniel M. Lichtstein
Approach to the Patient With Weight Gain	17	(2)
Approach to the Patient With Headache	19	(4)
John W. Griffin
Howard Weiss
Approach to the Patient With Weakness	23	(2)
Edward D. Harris
Mark C. Genovese
Approach to the Patient With Memory Disorders	25	(3)
Approach to the Patient With Dizziness and Vertigo	28	(2)
John W. Griffin
Howard Weiss
Approach to the Management of Back and Neck Pain	30	(3)
Edward D. Harris
Mark C. Genovese
PART 2: CARDIOLOGY	33	(1)
Elizabeth G. Nabel
William P. Fay
SECTION I: APPROACH TO THE PATIENT WITH CARDIOVASCULAR DISORDERS	34	(52)
Essentials of the Cardiac History and Physical Examination	34	(6)
Electrocardiography, Stress Testing, and Ambulatory Monitoring	40	(5)
Cardiac Imaging	45	(6)
Diagnostic and Therapeutic Cardiac Catheterization	51	(3)
Approach to the Patient With Heart Failure	54	(5)
Approach to the Patient With Cardiac Arrhythmias	59	(5)
Approach to the Patient With Hypotension and Shock	64	(7)
Approach to the Patient With a Heart Murmur	71	(5)
Approach to the Patient With Syncope	76	(4)
Approach to the Pregnant Patient With Heart Disease	80	(6)
SECTION II: DISORDERS OF THE CARDIOVASCULAR SYSTEM	86	(65)
Ischemic Heart Disease	86	(14)
Myocardial Diseases	100	(6)
Valvular Heart Diseases	106	(9)
Pericardial Diseases	115	(6)
Adult Congenital Heart Diseases	121	(5)
Cardiac Arrhythmias	126	(10)
Pulmonary Hypertension and Cor Pulmonale	136	(2)
Systemic Hypertension	138	(6)
Vascular Disease	144	(4)
Cardiac Tumors	148	(3)
PART 3: GASTROENTEROLOGY	151	(1)
Peter G. Traber
William L. Hasler
SECTION I: APPROACH TO THE DIAGNOSIS AND MANAGEMENT OF GASTROINTESTINAL DISORDERS	152	(40)
Approach to the Patient With Dysphagia or Non-Cardiac Chest Pain	152	(4)
Approach to the Patient With Nausea and Vomiting	156	(3)
Approach to the Patient With Diarrhea	159	(5)
Approach to the Patient With Constipation, Fecal Incontinence, and Gas	164	(4)
Approach to the Patient With an Abdominal or Rectal Mass	168	(2)
Approach to the Patient With Gastrointestinal Bleeding	170	(5)
Approach to the Patient With Jaundice	175	(3)
Approach to the Patient With Abnormal Liver Chemistries	178	(5)
Approach to the Patient With Complications of Chronic Liver Disease	183	(6)
Approach to the Patient Requiring Nutritional Support	189	(3)
SECTION II: DISORDERS OF THE GASTROINTESTINAL TRACT AND HEPATOBILIARY SYSTEM	192	(79)
Acid-peptic Disorders of the Gastrointestinal Tract	192	(8)
Motor and Functional Disorders of the Gastrointestinal Tract	200	(7)
Disorders of Digestion and Absorption	207	(8)
Inflammatory Bowel Disease	215	(6)
Gastrointestinal Infections	221	(5)
Diseases of the Gallbladder and Biliary Tree	226	(5)
Pancreatitis	231	(4)
Alcoholic Liver Disease	235	(4)
Acute and Chronic Liver Diseases	239	(8)
Cholestatic Syndromes	247	(4)
Drug-induced Liver Disease	251	(3)
Vascular Diseases of the Gastrointestinal Tract and Liver	254	(5)
Neoplasms of the Gastrointestinal Tract and Hepatobiliary System	259	(12)
PART 4: NEPHROLOGY	271	(1)
H. David Humes
James A. Shayman
SECTION I: APPROACH TO THE PATIENT WITH RENAL AND ELECTROLYTE DISORDERS	272	(41)
Approach to the Patient With Hematuria, Proteinuria, or Nephrotic Syndrome	272	(7)
Approach to the Patient With Glomerular Disease	279	(4)
Approach to the Patient With Acute Renal Failure	283	(5)
Approach to the Patient With Chronic Renal Failure	288	(4)
Approach to the Patient With Altered Sodium and Water Homeostasis	292	(8)
Approach to the Patient With Altered Potassum Concentration	300	(7)
Approach to the Patient With Metabolic Acidosis or Metabolic Alkalosis	307	(6)
SECTION II: DISORDERS OF THE KIDNEY	313	(24)
Essentials of Renal Function	313	(4)
Glomerular Diseases	317	(9)
Nonglomerular Diseases	326	(4)
The Kidney in Diabetes and Other Systemic Diseases	330	(7)
PART 5: RHEUMATOLOGIC, ALLERGIC, AND DERMATOLOGIC DISEASES	337	(1)
Edward D. Harris
Mark C. Genovese
SECTION I: APPROACH TO THE PATIENT WITH RHEUMATOLOGIC DISORDERS	338	(8)
Approach to the Patient With Acute Monarticular Arthritis	338	(2)
Approach to the Patient With Pain in More Than One Joint	340	(4)
Approach to the Patient With Musculoskeletal Pain Associated With Physical Activity	344	(2)
SECTION II: RHEUMATOLOGIC DISORDERS	346	(36)
Crystal-Induced Synovitis	346	(3)
Infectious Arthritis	349	(5)
Rheumatoid Arthritis	354	(4)
Spondyloarthropathies	358	(3)
Primary Disorders of Articular Cartilage	361	(2)
Neoplastic and Endocrinologic Causes of Musculoskeletal Complaints	363	(2)
Bursitis and Other Nonarticular Rheumatic Complaints	365	(1)
Lupus Erythematosus	366	(5)
Raynaud's Phenomenon and Scleroderma	371	(4)
Idiopathic Inflammatory Myopathies	375	(2)
Vasculitis	377	(3)
Heritable Disorders of Connective Tissue	380	(2)
SECTION III: ALLERGIC AND IMMUNOLOGIC DISORDERS	382	(3)
Anaphylaxis, Allergic Rhinitis, and Bronchial Asthma	382	(1)
Inherited Complement and Immunoglobulin Deficiencies	383	(2)
SECTION IV: APPROACH TO THE PATIENT WITH DERMATOLOGIC DISORDERS	385	(10)
Dermatologic Diagnosis: Fundamentals for Internists	385	(3)
Psoriasis	388	(1)
Infections of Skin	389	(1)
Pemphigus and Other Bullous Diseases of Skin	390	(1)
Atopic and Contact Dermatitis	391	(1)
Allergic Urticaria and Erythema Multiforme	392	(1)
Cutaneous Reactions to Drugs	393	(2)
PART 6: HEMATOLOGY AND ONCOLOGY	395	(1)
Robert F. Todd III
Harry P. Erba
Bruce G. Redman
SECTION I: GENERAL PRINCIPLES	396	(16)
Cancer Screening and Early Detection	396	(1)
Oncologic Emergencies	397	(3)
Paraneoplastic Syndromes	400	(2)
Complications of Cancer	402	(2)
Hematopoietic Stem Cell Transplantation	404	(3)
Anti-Cancer Drugs	407	(5)
SECTION II: HEMATOLOGIC MALIGNANCIES	412	(19)
Approach to the Management of Leukemia	412	(3)
Acute Leukemias	415	(1)
Chronic Leukemias	416	(2)
Approach to the Management of Hodgkin's Diseases	418	(2)
Hodgkin's Disease	420	(1)
Approach to the Patient With Lymphocytic Lymphomas	421	(2)
Lymphocytic Lymphomas	423	(4)
Plasma Cell Disorders	427	(4)
SECTION III: BONE MARROW FAILURE	431	(5)
Approach to the Patient With Bone Marrow Failure	431	(1)
Bone Marrow Failure	432	(4)
SECTION IV: MISCELLANEOUS DISORDERS OF LEUKOCYTES	436	(1)
Miscellaneous Disorders of Leukocytes	436	(1)
SECTION V: SOLID TUMORS	437	(36)
Approach to the Patient With an Unknown Primary Site	437	(1)
Breast Cancer	438	(4)
Gynecologic Cancers	442	(3)
Sarcomas of Soft Tissue and Bone	445	(3)
Germ Cell Malignancies	448	(3)
Epithelial Cancers of the Head and Neck	451	(2)
Lung Cancer	453	(3)
Gastrointestinal Cancers	456	(3)
Genitourinary Tract Cancers	459	(3)
Mesotheliomas	462	(1)
Kaposi's Sarcoma	463	(1)
Skin Cancers	464	(2)
Carcinoid Tumors and Islet Cell Cancers	466	(2)
Thyroid Cancer	468	(1)
Adrenal Cancer	469	(1)
Central Nervous System Tumors	470	(3)
SECTION VI: DISORDERS OF HEMOSTASIS AND THROMBOSIS	473	(20)
Approach to the Management of Hemorrhagic Diathesis	473	(2)
Inherited Disorders of Blood Coagulation	475	(4)
Acquired Disorders of Blood Coagulation	479	(3)
Abnormalities of Platelet and Vascular Function	482	(3)
Disorders of Platelet Function	485	(2)
Disorders Associated With Thrombosis	487	(6)
SECTION VII: APPROACH TO THE PATIENT WITH RED BLOOD CELL DISORDERS	493	(6)
General Approach to the Patient With Anemia	493	(2)
Hypoproliferative Anemias	495	(1)
Macrocytic Anemias	496	(2)
Sideroblastic Anemia	498	(1)
Hemolytic Anemias	498	(1)
SECTION VIII: RED BLOOD CELL DISORDERS	499	(24)
General Principles	499	(3)
Approach to the Management of Hemoglobinopathies	502	(3)
Hemoglobinopathies	505	(2)
Iron Deficiency Anemia	507	(2)
Anemia With Iron Overload (Sideroblastic Anemia)	509	(1)
Anemias Associated With Chronic Disease	510	(1)
Approach to the Management of Megaloblastic Anemias	511	(1)
Megaloblastic Anemias	512	(2)
Approach to the Management of Hemolytic Anemias	514	(2)
Hemolytic Anemias Due to Intracorpuscular Erythrocyte Membrane Abnormalities	516	(2)
Hemolytic Anemias Due to Antibody-Mediated Destruction	518	(3)
Hemolytic Anemias Due to Parasitism of Red Blood Cells	521	(1)
Hemolytic Anemias Due to Traumatic Fragmentation of the Red Blood Cell Membrane	521	(2)
SECTION IX: APPROACH TO THE PATIENT WITH ERYTHROCYTOSIS	523	(3)
Approach to the Management of Polycythemia Vera	523	(1)
Polycythemia Vera	524	(2)
SECTION X: BLOOD GROUPS, TISSUE TYPING, AND TRANSFUSION OF BLOOD PRODUCTS	526	(3)
Blood Groups, Tissue Typing, and Transfusion of Blood Products	526	(3)
PART 7: INFECTIOUS DISEASES	529	(1)
Herbert L. DuPont
Philip P. Johnson
SECTION I: SCIENTIFIC BASIS OF INFECTIOUS DISEASES	530	(11)
Microbiology of Infectious Diseases	530	(7)
Host-Microbe Interaction	537	(4)
SECTION II: APPROACH TO THE PATIENT WITH INFECTIOUS DISEASES	541	(88)
Antimicrobial Therapeutic Agents	541	(15)
Approach to Rashes and Infections of the Skin and Subcutaneous Tissues	556	(5)
Approach to Upper Respiratory Tract Infections	561	(4)
Approach to Cardiac and Vascular Infections	565	(5)
Approach to Localized Infections and Abscesses, Including Intra-abdominal Infections	570	(4)
Approach to Infections of the Genitourinary Tract, Including Perinephric Abscess and Prostatitis	574	(6)
Approach to Sexually Transmitted Diseases and Genital Tract Infections	580	(6)
Approach to Osteomyelitis and Septic Arthritis	586	(4)
Approach to the Febrile Patient and Fever of Unknown Origin	590	(3)
Infections in Compromised Hosts	593	(7)
HIV/AIDS: Clinical Considerations	600	(12)
Approach to Patients With Systemic Infection, Including Bacteremia and Septic Shock	612	(4)
Approach to Surgical Infections, Including Burns and Postoperative Infections	616	(5)
Epidemiology and Infection Control	621	(5)
Infectious Disease Prevention in the International Traveler	626	(3)
PART 8: PULMONARY AND CRITICAL CARE MEDICINE	629	(1)
Talmadge E. King
Robert M. Jasmer
SECTION I: APPROACH TO THE PATIENT WITH RESPIRATORY DISEASES OR CRITICAL ILLNESS	630	(34)
Pulmonary Function Testing	630	(6)
Respiratory Therapy Techniques and Mechanical Ventilation	636	(5)
Diagnostic and Therapeutic Techniques in Pulmonary and Critical Care Medicine	641	(6)
Management of Acute Respiratory Failure	647	(4)
Management of the Critically Ill Patient With Multiple Organ Failure	651	(3)
Approach to the Patient With Hemoptysis	654	(2)
Approach to the Patient With a Solitary Pulmonary Nodule	656	(2)
Approach to the Patient With Suspected Pneumonia, Including the Immunocompromised Host	658	(6)
SECTION II: DISORDERS OF THE PULMONARY SYSTEM	664	(59)
Asthma, Occupational Airway Diseases, and Allergic Bronchopulmonary Aspergillosis	664	(7)
Chronic Obstructive Pulmonary Disease, Bronchiectasis, and Cystic Fibrosis	671	(7)
Lung Abscess	678	(1)
Pulmonary Tuberculosis	679	(5)
Idiopathic Interstitial Pneumonias	684	(5)
Occupational Parenchymal Lung Disease and Hypersensitivity Pneumonitis	689	(4)
Miscellaneous Interstitial and Alveolar-Filling Lung Diseases	693	(6)
Sarcoidosis	699	(2)
Granulomatous Vasculitides	701	(4)
Pulmonary Neoplasms	705	(4)
Diseases of the Pleura and Mediastinum	709	(4)
Sleep Apnea Syndrome, Hypersomnolence, and Other Sleep Disorders	713	(5)
Pulmonary Thromboembolism	718	(5)
PART 9: ENDOCRINOLOGY, METABOLISM, AND GENETICS	723	(1)
D. Lynn Loriaux
Robert Klein
Andrew J. Ahmann
Kathryn G. Schuff
SECTION I: APPROACH TO THE PATIENT WITH ENDOCRINOLOGIC, METABOLIC, AND GENETIC DISORDERS	724	(23)
Dynamic Testing and Evaluation of Pituitary End-Organ Function	724	(6)
Evaluation of Thyroid Function Tests	730	(2)
Approach to Infertility	732	(2)
Management of Diabetes Mellitus	734	(8)
Approach to the Patient With Hypoglycemia	742	(1)
Evaluation and Therapy of Abnormal Lipid Profiles	743	(4)
SECTION II: DISORDERS OF ENDOCRINOLOGY, METABOLISM, AND GENETICS	747	(44)
Disorders of the Hypothalamus and Pituitary	747	(7)
Thyroid Hormone Production	754	(6)
Steroid Hormone Biosynthesis	760	(7)
Reproductive Endocrinology	767	(5)
Diabetes Mellitus	772	(4)
Disorders of Calcium and Phosphorus Homeostasis	776	(4)
Metabolic Bone Disease	780	(3)
Multiple Endocrine Neoplasia	783	(1)
Lipid and Lipoprotein Metabolism	784	(7)
PART 10: NEUROLOGY	791	(1)
John B. Griffin
Howard Weiss
SECTION I: APPROACH TO THE PATIENT WITH NEUROLOGIC DISORDERS	792	(36)
Lumbar Puncture and Cerebropsinal Fluid Analysis	792	(1)
Electroencephalography	792	(1)
Neurophysiology: Nerve Conduction and Electromyography	793	(1)
Neuroimaging	794	(1)
Serologic and Molecular Genetic Diagnosis	795	(2)
Approach to the Patient With Neurologic Complaints	797	(1)
Approach to the Patient With Tumors of the Central Nervous System	798	(4)
Approach to the Patient With Delirium, Language, and Neurobehavioral Problems	802	(1)
Approach to the Patient With Impairment of Consciousness	803	(3)
Approach to the Patient With a Sleep Disorder	806	(1)
Approach to the Patient With Seizures	807	(8)
Approach to the Patient With Visual Complaints	815	(2)
Approach to Patient With Gait Disorder	817	(1)
Approach to the Patient With Abnormal Movements and Tremor	818	(2)
Approach to the Patient With Disorders of Sensation	820	(3)
Approach to the Patient With Suspected Infection of the Central Nervous System	823	(5)
SECTION II: DISORDERS OF THE NERVOUS SYSTEM	828	(31)
Cerebrovascular Diseases	828	(4)
Demyelinating Diseases	832	(1)
Parkinson's Disease and Other Extrapyramidal Disorders	833	(2)
Chronic Dementing Conditions	835	(2)
Cerebellar Degeneration	837	(1)
Amyotrophic Lateral Sclerosis	838	(1)
Huntington's Disease	839	(1)
Central Nervous System Poisoning	840	(2)
Neurologic Complications and Consequences of Ethanol Use and Abuse	842	(2)
AIDS and Slow Virus Infections in the Nervous System	844	(1)
Structural Disorders of the Spinal Column	845	(2)
Disorders of the Peripheral Nervous System	847	(7)
Mononeuropathies Caused by Entrapment, Compression, and Other Physical Injuries	854	(1)
Diseases of Muscle and Neuromuscular Junction	855	(4)
PART 11: GERIATRICS	859	(1)
William R. Hazzard
Paul E. McGann
Amanda Ebright
SECTION I: APPROACH TO THE DIAGNOSIS AND MANAGEMENT OF CLASSIC GERIATRIC SYNDROMES	860	(14)
Approach to the Diagnosis and Management of the Elderly Patient	860	(2)
Approach to the Older Patient With Falls	862	(2)
Approach to the Older Patient With Urinary Incontinence	864	(3)
Approach to the Older Patient With Pressure Ulcers	867	(2)
Approach to the Patient With Cognitive Dysfunction	869	(5)
SECTION II: DISEASES COMMON IN THE GERIATRIC POPULATION	874	(13)
Hypertension in the Elderly	874	(3)
Diabetes Mellitus in the Elderly	877	(3)
Osteoporosis	880	(3)
Benign Prostatic Hyperplasia	883	(4)
SECTION III: OTHER TOPICS IMPORTANT IN EXPERT CARE OF THE ELDERLY	887	(4)
Geriatric Clinical Pharmacology	887	(2)
Ethical Issues in Geriatrics	889	(2)
Index	891